<style type="text/css"></style>
<include file="../Public/header" />
<div class="ncenter_box">
<div class="accounttitle"><h1><span class="tCenter space">申请会员中心</span></h1>
        </div>
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for(i=0;i<v;i++){ str+=("_"+(document.getElementById(s[i]).selectedIndex-1));}; 
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//--> 
              </SCRIPT>
      <SCRIPT LANGUAGE = JavaScript>


var s=["s1","s2"]; 
var opt0 = ["请选择","请选择"]; 
function setup() 
{ 
for(i=0;i<s.length-1;i++) 
document.getElementById(s[i]).onchange=new Function("change("+(i+1)+")"); 
change(0); 
} 
//##联动菜单结束--> 
</SCRIPT>
<form method='post' id="form1" action="__URL__/KanXiGua">
<table width="100%" border="1" cellspacing="0" cellpadding="0">
  <tr>
    <td colspan="2" class="tabletd">&nbsp;</td>
    </tr>
  <tr>
    <td align="right">当前级别</td>
    <td>{$urs['0']}</td>
  </tr>
  <tr>
    <td align="right">会员级别：</td>
    <td>{$urs['1']}</td>
  </tr>
  <tr>
    <td align="right">系统分配会员中心编号：</td>
    <td><span class="tLeft">
      <input name="UserID" readonly type="text"  id="UserID" value="{$vo['UserID']}"  check='^\S+$' warning="用户名不能为空,且不能含有空格" />
    </span></td>
  </tr>
  <tr>
    <td align="right">申请人：</td>
    <td><span class="tLeft">
      <input name="NickName" readonly type="text"  id="NickName" value="{$vo['NickName']}"  check='^\S+$' warning="用户名不能为空,且不能含有空格" />
    </span></td>
  </tr>
 <eq name="vo['isAgent']" value="0" >
  <tr>
    <td align="right">申请级别：</td>
    <td><select name="shopLevel" id="shopLevel">
      <option value="2">县（区）级会员 (15000)</option>
      <option value="3">市级会员(30000)</option>
    </select></td>
  </tr>
  
  <tr>
    <td align="right">地理位置：</td>
    <td>省：
      <select name="Province" id="s1" >
      <option></option>
    </select>
市：
<select name="City" id="s2" >
  <option></option>
</select>
<script language="JavaScript" type="text/javascript"> 
   setup() 
   </script>
<script language="JavaScript" type="text/javascript">//form1.BankProvince.options[25].selected=true;
	  //MenuChange2(form1.BankProvince);
	  ///form1.BankCity.options[3].selected=true;
	  </script>
县(区)：
<input name="Address" type="text" id="Address" maxlength="100" /></td>
  </tr>
  </eq>
  <tr>
    <td align="right">申请金额：</td>
    <td><input name="AgentMax" type="text" id="AgentMax" maxlength="12" onKeyUp="value=value.replace(/[^0-9\.]/g,'')" />
      <font color="#FF0000">*</font></td>
  </tr>
  <tr>
    <td align="right">剩余注册币：</td>
    <td>{$vo['AgentCash']}</td>
  </tr>
  <tr>
    <td width="27%">&nbsp;</td>
    <td width="73%">
      <input name="submit" type="submit"  class="btn1" value="申 请" />
   </td>
  </tr>
</table>
</form>
</div>
</body>
</html>
